Patients Forms & Information

For your convenience, please find links below. Please fill out online or print them off and bring them to your appointment.

• Medical History
• Patient Forms
• Insurance Card
• Records Release from EMDC
• Records Release to EMDC

Financial Assistance

We have a Treatment Coordinator available to assist our patients with any questions and to make financial arrangements for the dental treatment needs. We offer a discount when paying in full with cash, check or debit card at the time of service.

We offer a senior discount for patients over the age of 60.

We have the Short Call Club for hygiene appointments, offering a 20% discount for patients current on the hygiene recall, with a flexible schedule and able to pay in full for the hygiene appointment.